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After oral hygiene issues, stomach-related problems happen to be the second most reported cause behind foul smells in the mouth.

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They start to grow when you eat food and bacteria gets caught in the folds of your skin, and your body can produce them on its own! This stuff sticks around for a while before it turns into what I like to call “tonsil rocks” or “throat pearls.”
Tonsil stones are formed when debris, such as food particles and dead cells, gets trapped in the tonsil crevices. The debris can become trapped in the crypts of the tonsils and harden, forming tonsil stones. Some people are more prone to tonsil stones than others, and there are several factors that can increase the risk of developing them. .

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An infected tooth is another place where anaerobic bacteria can build up. An infected tooth is such a good place for bacteria to collect that it can actually serve as the jumping-off point for other infections of the bone, sinuses, lungs, or brain.

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Kidney disease can be caused by high blood pressure, diabetes, autoimmune diseases, medications, or injury. If you notice your breath smells like ammonia, visit your doctor as soon as possible to have any underlying causes treated. Additionally, regular checkups with your dentist are important to build a good oral hygiene routine.
1. Fluoride: Fluoride is a mineral that helps strengthen teeth and prevent cavities. It is an important ingredient to look for in a toothpaste, as cavities can contribute to bad breath.

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Studies have pointed out that people suffering from anxiety often breathe using their mouths while asleep. Stress also results in dry mouth and acid reflux further causing halitosis. Thus, depending on the symptoms, the dentist or physician might recommend the patient to opt for an online anxiety severity test before starting the treatment for halitosis.

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Sinus infection (sinusitis) is caused by allergies, infection, and chemicals or other irritants of sinuses. Signs and symptoms include headache, fever, and facial tenderness, pressure, or pain. Treatments of sinus infections are generally with antibiotics and at times, home remedies.

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    The Importance of Oral Hygiene in Maintaining Fresh Breath

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    It is necessary to understand the cause of halitosis to initiate treatment. Certain diseases that might present with similar features as halitosis include dehydration, diabetes mellitus, liver failure, kidney failure, bronchi or lung infection, tuberculosis, or internal bleeding.

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    On the contrary, pathologic halitosis is caused by oral diseases that promote the growth of bacteria, leading to chronic bad breath. Although other factors may also contribute, periodontal diseases, such as gingivitis or periodontitis, are the most common oral diseases that are pathological causes of halitosis.

    Using mouthwash, gum, and mints will only cover up the problem. In most cases, following a proper dental hygiene routine will improve bad breath. If at-home care doesn't solve the problem, contact your dentist and schedule an appointment for a proper evaluation.
    Digestive tract infectionsGastrointestinal diseasesNasal infections, such as sinusitis or rhinitisHepatitisHaematological or endocrine system disorderIntraoral halitosis

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    Millions of Americans take multiple prescription medications every day, and the combinations of medications can cause severe dry mouth. A dry mouth does not smell good. In a dry mouth, bacteria can proliferate more readily, leading to heavier plaque buildup and a higher risk for dental diseases.

    4. Freshening agents: Toothpastes that contain ingredients like baking soda or menthol can help freshen breath and leave your mouth feeling clean and refreshed.
    - Sugary foods: Bacteria in the mouth feed on sugar and produce acids that can contribute to bad breath.

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    Apple cider vinegar is another natural remedy that can help freshen breath. It has antimicrobial properties that can help kill the bacteria responsible for bad breath.

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    Although (as you probably know) there’s no cure for the common cold, there are ways to help yourself feel better when you have one. Taking a decongestant can help your nasal passages drain and drinking plenty of water and other fluids can help to flush out excess mucous.

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Dr. Nguyen has served on the Virginia Board of Dentistry and has many achievements such as: Invisalign Premier and Teen Provider, Pre-Fellow with Academy of General Dentistry, Graduate of Aesthetic Continuum, Engel Institute for Dental Implant Training, WaveOne Endodontic Training, HD President’s Club.

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If you suspect that your bad breath is caused by sinus issues or allergies, it is important to see a healthcare professional for an accurate diagnosis and appropriate treatment. They may recommend nasal sprays, antihistamines, or other medications to help alleviate your symptoms and improve your breath.

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Treating gum disease is essential in improving bad breath. Regular dental check-ups and cleanings can help remove plaque and tartar buildup, reducing the risk of gum disease. Maintaining good oral hygiene practices, such as brushing and flossing regularly, is also crucial in preventing gum disease and halitosis.

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If the odor is due to gum disease, for example, your dentist can either treat the disease or refer you to a periodontist, a dentist who specializes in treating gum conditions.

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